Individual
IVAN CHATILOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
9352 PARK WEST BLVD, KNOXVILLE, TN 37923-4325
(865) 373-1000
Mailing address
7907 SCENIC VIEW DR, KNOXVILLE, TN 37938-3282
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
865294
TX
Other
Enumeration date
06/08/2023
Last updated
05/16/2025
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